DR. PHILIP CERAULO (NPI# 1114180882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114180882 |
| Entity Type | Individual |
| Full Name | DR. PHILIP CERAULO |
| Credential | DO |
| Practice Address |
102 James St Suite 101 Edison NJ 08820-3970 |
| Practice Telephone | 7329069300 |
| Practice Fax Number | 7329069600 |
| Mailing Telephone | 7329069300 |
| Mailing Fax Number | 7329069600 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MB08316500 | NJ | Other Service Providers |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS10262 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
102 JAMES ST SUITE 101 |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-3970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366812836 | Evan Jay | Physician Assistant | 102 James St, Suite 101, Edison, NJ 08820-3970 | 2015-09-28 |
| 1407274236 | Nj Cardiovascular Care LLC | Internal Medicine | 102 James St, Suite 302, Edison, NJ 08820-3970 | 2014-03-29 |
| 1659797850 | Primary Care Partners LLC | Non-Pharmacy Dispensing Site | 102 James St, Suite 202, Edison, NJ 08820-3970 | 2014-03-12 |
| 1700157104 | Primary Care Partners, LLC | Family Medicine | 102 James St, Suite 202, Edison, NJ 08820-3970 | 2012-01-18 |
| 1811287527 | Anup Patel | Podiatrist | 102 James St, Suite 301, Edison, NJ 08820-3970 | 2011-04-14 |
| 1508180936 | Da Vinci Dental Arts, Pa | Dentist | 102 James St, Suite # 304, Edison, NJ 08820-3970 | 2010-03-14 |
| 1710212642 | Ayman Boushra Samaan | Anesthesiology | 102 James St, Suite 103, Edison, NJ 08820-3970 | 2009-10-09 |
| 1811179476 | Luca De Simone Kidney Disease Specialists LLC | Internal Medicine | 102 James St, Suite 302, Edison, NJ 08820-3970 | 2007-12-05 |
| 1285820555 | Anita Ravi | Internal Medicine | 102 James St, Suite 302, Edison, NJ 08820-3970 | 2007-09-20 |
| 1073726972 | Edison Foot and Ankle Care PC | Podiatrist | 102 James St, Suite 301, Edison, NJ 08820 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457891475 | Tova Horowitz | Specialist | 24 Eardley Rd, Edison, NJ 08817-3031 | 2017-02-24 |
| 1831632389 | Garden State Infectious Diseases Consultants PC | Specialist | 36 Huntington Rd, Edison, NJ 08820-3108 | 2016-11-30 |
| 1881047405 | Middlesex Infectious Diseases LLC | Specialist | 3 Melbloum Ln, Edison, NJ 08837-2780 | 2016-07-19 |
| 1477909281 | Fairfield Neurology LLC | Specialist | 20 Ballo Pl, Edison, NJ 08820-3837 | 2016-05-11 |
| 1104250653 | Antony Mathew | Specialist | 44 Lincoln Hwy, Suite 200 C, Edison, NJ 08820-3978 | 2013-09-01 |
| 1659628709 | Eva Mohanty | Specialist | 608 Merrywood Dr, Edison, NJ 08817-2535 | 2012-08-08 |
| 1679845689 | Raritan Bay Primary Care & Cardiology Associates, Pa | Specialist | 339 Plainfield Rd, Edison, NJ 08820-3049 | 2012-02-07 |
| 1861796021 | Kristin N Cavuto | Specialist | 86 Jersey Ave, Edison, NJ 08820-3526 | 2011-01-03 |
| 1720393226 | Center for Spine Intervention & Pain Management, LLC | Specialist | 2117 Oak Tree Rd, Suite 209, Edison, NJ 08820-1422 | 2010-08-10 |
| 1073719258 | Mira Chakravarty | Specialist | 3840 Park Avenue, Suite C, Edison, NJ 08820 | 2007-06-25 |
| Find all providers in EDISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.